摘要
目的分析江苏省境外输入性疟疾的流行病学特征并探讨其防控策略,为进一步提高输入性疟疾诊治和管理水平提供科学依据。方法收集2011年7月18日至2012年6月30日江苏省境外输入性疟疾病例信息及个案流行病学资料,对境外输入性疟疾的虫种、来源、人群分布、地区分布、发病及诊治情况、出国途径及同行回国人员情况等进行描述性分析。结果 2011年7月18日至2012年6月30日江苏省共报告境外输入性疟疾病例233例,其中226例(97.0%)来自非洲国家,208例(89.3%)为恶性疟,224例(96.1%)为实验室确诊病例。发病人群主要为青壮年男性农民工和技术工人,发病时间无明显季节变化,145例(62.2%)病例在回国后20 d内发病。从发病到就诊时间的中位数为2 d,从就诊到确诊时间的中位数为1 d。首诊单位相对分散,确诊单位主要为县级以上医疗和疾控机构(220例,占94.4%),病例确诊后规范治疗率为100%。205例(88.0%)患者系经公司劳务派遣出国务工人员,142例(60.9%)患者有同行回国人员。结论江苏省境外输入性疟疾疫情严峻,需进一步强化业务培训和多部门合作,针对高危人群建立协查机制,采取有力防控措施降低境外输入性疟疾的危害。
Objective To analyze the epidemiological characteristics of overseas imported malaria in Jiangsu Province and explore the strategies and priorities in prevention and control, so as to provide the evidence for improving the diagnosis, treatment and management of imported malaria. Methods The data of overseas imported malaria as well as the case epidemiological investi- gation in Jiangsu Province from July 18, 2011 to June 30, 2012 were collected and analyzed descriptively for the species composition, original countries, population distribution, regional distribution, onset time, diagnosis and treatment, channels to go abroad, and counterparts returned together with the patients. Results A total of 233 overseas imported malaria cases were reported, and 226 cases （97.0%） were imported from African countries. A total of 208 cases （89.3%） were faleiparum malaria, and 224 cases （96.1%） were laboratory-confirmed. The imported malaria cases were young adults who were mainly migrant farmer and skilled male workers. There was no significant seasonal variation for onset time. Totally 145 cases （62.2%） got malaria onset in 20 days after returning home. The median time from onset to seeing doctor was two days and the median time from seeing doctor to be- ing diagnosed was one day. The first visit health facilities by the patients were relatively scattered and the diagnostic health facilities were mainly medical institutions and CDC at the county level and above （220 cases, accounting for 94.4%）. The ratio of standard treatment after malaria diagnosis was 100%. A total of 205 cases （88.0%） were workers dispatched to abroad as labor export by the company, and 142 cases （60.9%） cases had counterparts returned together. Conclusions The situation of overseas imported malaria in Jiangsu Province is severe. It is necessary to further strengthen the professional training and muhi-sectoral cooperation, establish the collaborative investigation mechanism for high-risk groups, and take effective prevention and control measures to reduce the risk of overseas imported malaria.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
2013年第1期44-47,共4页
Chinese Journal of Schistosomiasis Control
基金
江苏省科教兴卫工程高技术平台(ZX201108)
国家重大科技专项(2008ZX10004 011)
江苏省自然科学基金(BK2010151)
关键词
疟疾
输入性疟疾
疫情
防控策略
劳务输出
江苏省
Malaria
Overseas imported malaria
Epidemic situation
Strategy of prevention and control, Labor export
Jiangsu Province
